2025 ICD-10-CM code Z90.41
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Factors influencing health status and contact with health services - Acquired absence of other specified parts of digestive tract Chapter 21: Factors influencing health status and contact with health services Feed
Acquired absence of the pancreas.This code is used when a person has had all or part of their pancreas removed.
Medical necessity for coding Z90.41 is established by the documentation of the acquired absence of the pancreas due to a surgical procedure or trauma. This is often evident from the operative report, pathology results, or imaging reports. The medical necessity for related procedures or treatments (e.g., diabetes management, enzyme replacement therapy) will be established by the clinical documentation supporting those interventions.
The clinical responsibility for this code falls on the physician who manages the patient's condition resulting from the absence of the pancreas. This includes monitoring blood glucose levels, managing diabetes, and addressing exocrine pancreatic insufficiency.The physician may also need to coordinate care with other specialists, such as endocrinologists or gastroenterologists.
- Chapter 21: Factors influencing health status and contact with health services
- Z90-Z99: Persons with potential health hazards related to family and personal history and certain conditions influencing health status
In simple words: This code means a person is missing part or all of their pancreas because it was removed or damaged.The doctor will likely use other codes to describe the diabetes or other health problems this might cause.
Acquired absence of the pancreas. This code, Z90.41, is used to classify the absence of all or part of the pancreas resulting from a procedure (such as a pancreatectomy) or trauma.It should be used in conjunction with codes for any associated conditions, such as diabetes mellitus (E13.-), postpancreatectomy diabetes, insulin use (Z79.4), and exocrine pancreatic insufficiency (K86.81).The code indicates the absence of the pancreas, not the underlying cause of the absence.
Example 1: A patient undergoes a total pancreatectomy for pancreatic cancer. Z90.41 is used to code the acquired absence of the pancreas, along with codes for the cancer and any resulting diabetes mellitus and insulin use., A patient experiences significant pancreatic trauma in an accident requiring partial pancreatectomy.Z90.41, along with codes for the injury and any resulting complications, is used., A patient presents for follow-up after a partial pancreatectomy several months prior.Z90.41 is used to indicate the ongoing absence of pancreatic tissue, along with codes indicating the patient's current condition, such as diabetes management and exocrine pancreatic insufficiency.
Detailed documentation should include the date and type of procedure (if applicable), the extent of the pancreatic resection (total or partial), any associated diabetes mellitus diagnosis, insulin use (including type, dosage, and frequency), and any complications related to exocrine pancreatic insufficiency.Imaging studies confirming pancreatic resection would also be beneficial.Notes on the patient's glucose monitoring should be present.
** This code should only be used when the absence of the pancreas is acquired, not congenital.Always cross-reference with other relevant codes, as this is often a secondary diagnosis.
- Payment Status: Active
- Specialties:Endocrinology, Gastroenterology, Surgery, Oncology
- Place of Service:Office, Hospital (Inpatient and Outpatient), Ambulatory Surgical Center